HTN Practice Quizzy Flashcards

1
Q

A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients’ cultures?

a. Nurses should focus on clients’ cultures, rather than race, when providing care.
b. Nonverbal communication is important in few cultures.
c. Culture plays no role in determining when a client will seek medical care.
d. Nurses should expect clients to adapt to the care provided regardless of culture.

A

a. Nurses should focus on clients’ cultures, rather than race, when providing care.

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2
Q

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

a. The client will list foods that are high in calcium, which should be avoided.
b. The client will walk for 30 min 5 days a week.
c. The client will increase calorie intake by 200 cal/day.
d. The client will replace cigarettes with smokeless tobacco products.

A

b. The client will walk for 30 min 5 days a week.

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3
Q

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

a. The client will list foods that are high in calcium, which should be avoided.
b. The client will walk for 30 min 5 days a week.
c. The client will increase calorie intake by 200 cal/day.
d. The client will replace cigarettes with smokeless tobacco products.

A

b. The client will walk for 30 min 5 days a week.

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4
Q

A nurse in a provider’s office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client’s potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

a. Cardiac dysrhythmias
b. Hypoglycemia
c. Seizures
d. Neurogenic shock

A

a. Cardiac dysrhythmias

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5
Q

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?

a. Sodium 136 mEq/L
b. Potassium 2.3 mEq/L
c. Chloride 99 mEq/L
d. Calcium 10mg/dL

A

b. Potassium 2.3 mEq/L

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6
Q

A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

a. “I may eat 10 ounces of lean protein each day.”
b. “Fresh fruits make a good snack option.”
c. “I will replace table salt with dried herbs.”
d. “I may thicken gravies with cornstarch as I cook.”

A

a. “I may eat 10 ounces of lean protein each day.”

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7
Q

A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?

a. “Reaching you goal blood pressure will occur within 2 months.”
b. “Diuretics are the first type of medication to control hypertension.”
c. “Limit your alcohol consumption to three drinks a day.”
d. “Plan to lower saturated fats to 10% of your daily calorie intake.”

A

b. “Diuretics are the first type of medication to control hypertension.”

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8
Q

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/84 mmHg places him in which of the following categories?

a. Within the expected reference range
b. Prehypertension
c. Stage I hypertension
d. Stage II hypertension

A

c. Stage I hypertension

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9
Q

A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis?

a. Vertigo
b. Uremia
c. Blurred vision
d. Dyspnea

A

a. Vertigo

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10
Q

A nurse is caring for a client who has hypertension and is afraid to take his blood pressure medication. Which of the following nursing statements is an example of the therapeutic communication response of reflection?

a. “You seem upset about taking your blood pressure medication.”
b. “Why do you feel afraid to take your medication?”
c. “You won’t get better until you take your medication.”
d. “Did your symptoms occur before or after you took the medication?”

A

a. “You seem upset about taking your blood pressure medication.”

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11
Q

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

a. Weigh weekly to monitor therapeutic effect.
b. Take the medication on an empty stomach.
c. Take the medication early in the day.
d. Muscle pain is an expected adverse effect.

A

c. Take the medication early in the day.

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